SOUTHEASTERN RADIOLOGY ASSOCIATES WIC
NPI 1861829681
Clinic/Center - Radiology, Mammography in Lumberton, NC
- Organization
- Clinic/Center
- Radiology, Mammography
About SOUTHEASTERN RADIOLOGY ASSOCIATES WIC
This page provides the complete NPI Profile along with additional information for Southeastern Radiology Associates Wic, a provider established in Lumberton, North Carolina operating as a Clinic/center, focusing in radiology, mammography . The healthcare provider is registered in the NPI registry with number 1861829681 assigned on October 2013. The practitioner's primary taxonomy code is 261QR0206X with license number H0064 (NC). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Southeastern Radiology Associates Wic. The authorized official of this NPI record is Fordham B Britt (Director)
- NPI
- 1861829681 Verify this NPI
- Provider Legal Name
- SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
- Other Organization Name
- SOUTHEASTERN RADIOLOGY ASSOCIATES WIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 105 W 27TH ST LUMBERTON, NC 28358
- Location Phone
- (910) 738-8222
- Location Fax
- (910) 738-8175
- Mailing Address
- 2600 N ELM ST # T LUMBERTON, NC 28358
- Mailing Phone
- (910) 272-3051
- Mailing Fax
- (910) 738-3764
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-11-2013
- Last Update Date
- 10-11-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Radiology, Mammography
- Taxonomy Code
- 261QR0206X
- Type
- Ambulatory Health Care Facilities
- License No.
- H0064
- License State
- NC
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861829681, enumerated as an "organization" on October 11, 2013.
The provider is located at 105 W 27TH ST LUMBERTON, NC 28358 and the phone number is (910) 738-8222.
Clinic/Center with taxonomy code 261QR0206X and a focus in Radiology, Mammography.
